Discusión entre pares / 14 year male. Pre and post reduction x-rays

Indian-Orthopaedic Research-Group

Shyamlal Mukhi

14 year male. Pre and post reduction x-rays

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  Shyamlal Mukhi Arvind Jain sir please give your valuable opinion

  Ayer a las 14:41 · Editado · Me gusta · 1
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  Vugar Nebi I'd prefer fixation 2k-wire.))

  Ayer a las 15:44 · Me gusta · 1
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  Habeba Wael Unstable fracture need k wires percutaneous

  Ayer a las 16:04 · Me gusta · 2
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  Arturo Aguilar Cast...observation

  Ayer a las 18:02 · Me gusta
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  Mathew P.thomas Absolutely no conservative management . Eithr stout k wires intramedullary or plate osteosynthesis...

  Ayer a las 18:24 · Me gusta
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  Arvind Jain At the best Sir...Hats off....a below elbow slab for 10 days and POP for next two weeks is all one needs at this age.Not o forget inclusion f thumb in plaster.Conservative for sure is complication free.

  Ayer a las 18:35 · Editado · Me gusta
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  Pritish Singh Sir, this fracture level(at this age) has a strange incidence of re fracture after initial union- k wires are difficult to pass at this level. I would plate it avoiding physis.

  Ayer a las 19:43 · Editado · Me gusta
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  Mathew P.thomas No conservative in this quadratus fracture....

  Ayer a las 19:51 · Me gusta · 1
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  Arvind Jain REFRACTURES common only when there is malunion

  Ayer a las 19:58 · Me gusta
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  Arvind Jain

  

  Ayer a las 20:00 · Me gusta
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  Arvind Jain

  

  Ayer a las 20:02 · Me gusta
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  Mathew P.thomas 5 deforming forces act on the distal fragment...age of fixation has come down to 12 yrs..absolutely no below elbow..ae may work if u r goin 4 conservative..but regular follow up required

  Ayer a las 20:04 · Me gusta
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  Mathew P.thomas Be Slab theoritically cant serve the purpose......

  Ayer a las 20:05 · Me gusta
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  Arvind Jain If you believe in outcome,after many hundreds I came to conclusion of what i posted

  Ayer a las 20:05 · Me gusta · 1
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  Pritish Singh By giving BE cast, even prono-sup cannot be controlled in this highly unstable #.Im sorry sir,I do not agree to this treatment.

  Ayer a las 20:11 · Me gusta
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  Mathew P.thomas I stick on 2 wat I told but I do always respect experience sir.....

  Ayer a las 20:14 · Me gusta
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  Arvind Jain There must be some misbelief about BE plaster,this happens when you apply adult fracture principles in children.It will displace only if sling is given.

  Ayer a las 21:05 · Editado · Me gusta · 1
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  Mathew P.thomas Sir can u plz explain how sling makes the difference?sir y s tat brachioradialis and pron quadratus act in adults and not in children if so?

  Ayer a las 22:33 · Me gusta
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  Prasad Pidikiti Surgeon who did the MUA should be the better judge of further management. He is the only one who knows the stability after reduction, not the ones seeing the films on facebook. 
  By nature bothbone forearm fractures are unstable if they are at the same level.
  If at MUA reduction is stable POP is enough. If not stable then supplement reduction with fixation

  hace 14 horas · Me gusta
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  Arvind Jain dr Mathew P.thomas - vertically hanging arm keeps reduction,just as you hang a chain and all shackles remain in line.See how sling deforms by gravity sagging

  

  20 min · Editado · Me gusta
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  Arvind Jain and this recent case -How simple it is..only in child when BE plaster chosen in place of AE......Some people advocate AE plaster for colles' too,but every one knows ,its not needed.

  

  16 min · Editado · Me gusta